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Archived Projects of the TBINDC Registry by Researchers Last Name
9 archived projects available at this time for Flora Hammond, M.D.

Outcomes and Quality of Life Associated with Alternative Pathways for Post-acute Management of Severe TBI: Skilled Nursing, Subacute Rehabilitation, and Home Care Versus Comprehensive Acute Inpatient Rehabilitation
Abstract: Much has been learned about the functional outcome for those that survive traumatic brain injury (TBI) and receive inpatient rehabilitation. However, this is a select group of persons with TBI. Individuals who receive inpatient rehabilitation differ from those who have not by the fact that they have come to a rehabilitation setting. Although these groups are not equal, comparisons are needed to learn more about the needs and outcomes of those who do not receive inpatient rehabilitation. This study investigates the outcomes and quality of life (QOL) associated with alternative pathways for post-acute management of severe TBI, including skilled nursing, subacute rehabilitation, and home care versus acute inpatient rehabilitation. ... more
Investigators: Hammond F, Grattan K, Norton H, Corrigan J, Bogner J view full
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Lead Center: Carolinas Rehabilitation
Collaborating Centers: Ohio State University
Predictive Factors of Separation/Divorce from Significant Others Following TBI
Abstract: TBI is often a catastrophic event creating financial stress, care needs, and other new demands on personal relationships. It is reasonable that TBI and its aftereffects might lead to disruption of this relationship. Changes in marital relationships following TBI were investigated retrospectively. However, predictability of relationship stability has not been quantified in terms of separation/divorce. The purpose of this study is to determine whether there are factors that predict separation following TBI. This information will be invaluable to fully addressing the needs of those with TBI and their families, thereby optimizing their reintegration.... more
Investigators: Hammond F, Grattan K, Norton H, Stewart D view full
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Lead Center: Carolinas Rehabilitation
Does the Use of Half-point Scores Increase the Sensitivity of the Disability Rating Scale?
Abstract: In 1994, the TBI Model System changed the Disability Rating Scale (DRS) scoring from whole to half points. Half points are now utilized for the Cognitive Ability for Self Care, Level of Functioning, and Employability Items when the whole-point definitions are not adequate. Total half-point scores are rounded down to the better whole score category when using the established disability categories. This change was implemented to increase sensitivity of the DRS. However, no study has been conducted regarding the impact of this new scoring as compared to the traditional whole-point scoring, which is the purpose of this study... more
Investigators: Hammond F, Grattan K, Sasser H, Bushnik T, Wagner Jr. F view full
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Lead Center: Carolinas Rehabilitation
Collaborating Centers: Santa Clara Valley Medical Center
Ethnic Group Response Differences to the Neurobehavioral Functioning Inventory: An Exploratory Analysis of TBI Sequelae Report by Race
Abstract: Many studies of Traumatic Brain Injury (TBI) lack generalizability to minorities. Research review reveals a dearth of studies exploring how different racial or ethnic groups respond to TBI. A number of studies have recently been published on spinal cord injury patients and have shown mixed results with regard race influence on psychological outcomes (Kemp, Krause, Adkins, 1999; Krause, 1998; Fuhrer et al., 1993). That is, some studies report significant differences between races on reports of depression and other emotional difficulties, and other reports find no differences. Unfortunately, many epidemiological studies have been flawed due to measure used, power of the study, age of participants and other health problems. Given the... more
Investigators: Babin P, Hammond F, Kreutzer J view full
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Lead Center: Carolinas Rehabilitation
Collaborating Centers: Virginia Commonwealth University/Medical College of Virginia
A comparative outcome study of individuals with TBI as a result of violence
Abstract: Intentional violence is a growing cause of TBI. Although there is evidence that violent etiology results in poorer outcomes, whether observed outcomes differences are due to violence or are basically attributable to covarying factors such as severity of injury or pre-injury race, socio-economic status, or pre-injury handicap levels is unclear. The fundamental objective of this study is to increase knowledge of the implications of violence, particularly how it is associated with pre-existing and continuing psychosocial factors. Four hypotheses will be investigated: 1) Violent etiology will be associated with poorer functional outcomes (physical functioning, cognitive functioning, community integration); 2) Violent etiology will be... more
Investigators: Wood K, Johnston M, Galski T, Hammond F, Miller M view full
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Lead Center: Kessler Medical Rehabilitation Research and Education Corporation
Collaborating Centers: Emory University/Shepherd Center, Carolinas Rehabilitation
Subjective Well-being in the First Two Years Following Traumatic Brain Injury
Abstract: Prospective, longitudinal study of patients with TBI followed at one and two years post-injury. In a single center study stepwise multiple regressions predicted statistically significant, but small proportions of variance. This study proposes to replicate these findings using the TBI Model Systems dataset. Univariate regression models will be calculated first. Those variables that account for at least 1% of variance will be included in subsequent stepwise linear regression models... more
Investigators: Corrigan J, Bogner J, Hammond F, Sander A, Whiteneck G, Kreutzer J view full
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Lead Center: Ohio State University
Collaborating Centers: Carolinas Rehabilitation, The Institute for Rehabilitation and Research, Virginia Commonwealth University/Medical College of Virginia
Concordance of Patient and Family Report of Neurobehavioral Symptoms at 1 year Post Traumatic Brain Injury
Abstract: Objective: To determine concordance between patient and family report of neurobehavioral symptoms and problems across 6 domains of function and 3 levels of injury severity at 1 year post traumatic brain injury (TBI).

Design: Prospective longitudinal design with follow-up between 10 and 14 months post injury.

Setting: 17 TBI Model System centers.

Patients: 267 adults with primarily moderate and severe TBI who had completed self-ratings and also had significant other ratings of neurobehavioral symptoms.

Main Outcome Measures: Neurobehavioral Functioning Inventory, Revised (NFI-R), a 70-item scale with subscales assessing frequency of symptoms in Motor, Somatic, Memory/ Attention, Depression, Communication and Aggression... more
Investigators: Hart T, Whyte J, Polansky M, Millis S, Hammond F, Sherer M, Bushnik T, Hanks R, Kreutzer J view full
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Lead Center: Moss Rehabilitation Research Institute
Collaborating Centers: Kessler Medical Rehabilitation Research and Education Corporation, Carolinas Rehabilitation, Methodist Rehabilitation Center, Santa Clara Valley Medical Center, Rehabilitation Institute of Michigan, Virginia Commonwealth University/Medical College of Virginia
Validation of a clinical attention rating scale
Abstract: Attention deficits are commonly reported after traumatic brain injury. A variety of laboratory measures have been used to study attention and assess its response to treatment. However, this approach is seldom feasible for clinical use. Rating scales of attention-related behavior have been developed for other clinical situations (e.g., ADHD), but no well-validated scale exists for use in TBI. This project seeks to assess the inter-rater reliability and factor structure of an observational rating scale of attention developed for use in TBI. Research participants are individuals admitted to acute rehabilitation after TBI, who are at least Rancho Los Amigos level IV, and are undergoing no changes in psychoactive drugs. Such individuals are... more
Investigators: Whyte J, Hart T, Bode R, Malec J, Millis S, Thompson R, Hammond F view full
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Lead Center: Moss Rehabilitation Research Institute
Collaborating Centers: Virginia Commonwealth University/Medical College of Virginia, Carolinas Rehabilitation, Kessler Medical Rehabilitation Research and Education Corporation, Methodist Rehabilitation Center, Spaulding Rehabilitation Hospital, Mayo Medical Center
Functional Outcome Following Penetrating Brain Injury: The Aftermath of Violence
Abstract: The U.S. has the highest incidence of penetrating brain injury due to violence of any developed country. While the direct effects of penetrating brain injury often result in costly and severe disability, the psychological stress associated with a traumatic event may further complicate and retard functional recovery. The incidence of PTSD was 33% in one sample of brain injury survivors. It may be even higher following penetrating injury due to the often violent etiology. A prospective follow-up study of persons with penetrating and closed brain injuries is proposed to evaluate the effect of violent injury etiology on outcome with a particular focus on the incidence and consequence of having PTSD symptoms following penetrating or closed... more
Investigators: Greenspan A, Phillips V, Kellerman A, Goldstein F, Stringer A, Hammond F, Johnston M view full
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Lead Center: Emory University/Shepherd Center
Collaborating Centers: Carolinas Rehabilitation, Kessler Medical Rehabilitation Research and Education Corporation
9 archived projects available at this time for Flora Hammond, M.D.



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